Question 1

A 14-year-old with cystic fibrosis suddenly becomes noncompliant with the medication regimen. The intervention by the nurse that would most likely improve compliance would be to:

Accepted Answer

A) Give the child a computer-animated game that presents information on the management of cystic fibrosis. 
B) Set up a meeting with some older teens who have cystic fibrosis and have been managing their disease effectively. 
C) Arrange for the physician to sit down and talk to the child about the risks related to noncompliance with medications. 
D) Discuss with the child's parents that privileges, such as a cell phone, can be taken away if compliance fails to improve. B

Question 2

Prior to giving an intramuscular injection to a two-and-a-half-year-old child, the most appropriate statement by the nurse would be:

Accepted Answer

A) "It is all right to cry.I know that this hurts.After we are done, you can go to the box and pick out your favorite sticker." 
B) "We will give you your shot when your mommy comes back." 
C) "This is medicine that will make you better.First we will hold your leg, then I will wipe it off with this magic cloth that kills the germs on your leg right here.Then I will hold the needle like this and say 'one, two, three, go' and give you your shot.After the shot is over with, I will hold the cotton ball until it stops bleeding and then put the Band-Aid on.Are you ready?" 
D) "This is a magic sword that will give you your medicine and make you all better." A

Question 3

A nurse is assessing language development in all the infants presenting at the physician's office for well-child visits. The nurse would want to evaluate the child further who is not able to verbalize the words "dada" and "mama" by the age of:

Accepted Answer

A) 18 months. 
B) 8 months. 
C) 5 months. 
D) 12 months. D

Question 4

The mother of a six-year-old boy who has recently had surgery for the removal of his tonsils and adenoids complains that he has begun sucking his thumb again. The nurse caring for the child should assure the mother that this is a normal response for a child who has undergone surgery and that it is a coping mechanism that children sometimes use called:

Accepted Answer

A) Repression. 
B) Rationalization. 
C) Fantasy. 
D) Regression.

Question 5

While assessing the development of a nine-month-old infant, the nurse asks the mother if the child actively looks for toys when they are placed out of sight. The nurse is trying to determine whether the infant has developed:

Accepted Answer

A) Transductive reasoning 
B) Conservation 
C) Centration 
D) Object permanence

Question 6

The home health nurse is visiting a family at home when the toddler has an "accident" and has a bowel movement in his diaper. The mother becomes angry with the child and calls him a baby for messing himself. The nurse considers Erikson's theory and recognizes that the mother's behavior may have an effect on the child's:

Accepted Answer

A) Cognitive development. 
B) Sense of independence. 
C) Conscience. 
D) Development of superego.

Question 7

A 10-year-old child has been struggling with his self-esteem. Which activity would best help this child have a positive resolution of Erikson's Industry versus Inferiority stage?

Accepted Answer

A) Playing sports with his older brother and the brother's friends. 
B) Have his mother compliment him when he completes his homework. 
C) Encourage the child to participate in boy scouts and earn badges. 
D) Suggest to the mother that she allow the child to babysit his younger siblings.

Question 8

While in the pediatrician's office for their child's 12-month well-child exam, the parents ask the nurse for advice on age-appropriate toys for their child. Based on the child's developmental level, the nurse should suggest which types of toys? Standard Text: Select all that apply.

Accepted Answer

A) Soft toys that can be manipulated and mouthed 
B) Toys with black-and-white patterns 
C) Toys that can pop apart and go back together 
D) Jack-in-the-box toys 
E) Push-and-pull toys

Question 9

As children grow and develop, their style of play changes. Place the following descriptions of play styles in order from infancy to school-age. Standard Text: Click and drag the options below to move them up or down.

Accepted Answer

A) Plays beside but not with other children 
B) Plays games with other children and is able to follow the rules of the game 
C) Plays alone with play directed by others 
D) Plays with others in loose groups

Question 10

Two three-year-olds are playing in a hospital playroom together. One is working on a puzzle, while the other is stacking blocks. The mother of one of the children scolds them for not sharing their toys. The nurse counsels this mother that this is normal developmental behavior for this age, and the term for it is:

Accepted Answer

A) Cooperative play. 
B) Solitary play. 
C) Parallel play. 
D) Associative play.

Question 11

The parents of a one-month-old infant are concerned that their baby seems different from their other child, and they ask the nurse if this is normal. The nurse informs them that it is normal for babies to have different temperaments and that according to the "temperament theory" of Chess and Thomas, one of the characteristics of the "slow-to-warm-up" child is that he:

Accepted Answer

A) Initially reacts to new situations by withdrawing. 
B) Commonly has intense reactions to the environment. 
C) Displays a predominately negative mood. 
D) Shows a regularity in patterns of eating.

Question 12

A neonatal nurse who encourages parents to hold their baby and provides opportunities for kangaroo care most likely is demonstrating concern for which aspect of the infant's psychosocial development?

Accepted Answer

A) Attachment 
B) Assimilation 
C) Resilience 
D) Centration

Question 13

While trying to inform a five-year-old girl about what will occur during an upcoming CT scan, the nurse notices that the child is engaged in a collective monologue, talking about a new puppy. The nurse's best response would be:

Accepted Answer

A) "You must be so excited to have a new puppy! They are so much fun.Now let me tell you again about going downstairs in a wheelchair to a special room." 
B) "Please stop talking about your puppy.I need to tell you about your CT scan." 
C) "I'll come back when you are ready to talk with me more about your CT scan." 
D) Ignore the child's responses and continue discussing the procedure.

Question 14

Utilizing Bronfenbrenner's ecologic theory of development, the nurse caring for a child would discuss the parents' work environment as part of an assessment of that child's:

Accepted Answer

A) Chronosystem. 
B) Mesosystem. 
C) Macrosystem. 
D) Exosystem.

Question 15

While being comforted in the emergency department, the six-year-old sibling of a pediatric trauma victim blurts out to the nurse, "It's all my fault! When we were fighting yesterday, I told him I wished he was dead!" The nurse, realizing that the child is experiencing magical thinking, should respond by:

Accepted Answer

A) Asking the child if he would like to sit down and drink some water. 
B) Sitting the child down in an empty room with markers and paper so that he can draw a picture. 
C) Reassuring the child that it is normal to get angry and say things that we do not mean, but that we have no control over whether an accident happens. 
D) Calmly discussing the catheters, tubes, and equipment that the patient requires, and explaining to the sibling why the patient needs them.

Exam 5: Concepts of Growth and Development